<fieldset id="inscription">
				<legend>Entrez vos coordonnees</legend>
				<form  method="post" action="index.php">
					<h2>Inscription</h2>
					<h3>Le site est gratuit et ouvert a tous.</h3>
					<table border=0>
						<tr>
							<td>{PRENOM}</td>
							<td><input type=text name="prenom"></td>
						</tr>
						<tr>
							<td>{NOM}</td>
							<td><input type=text name="nom"></td>
						</tr>
						<tr>
							<td>{BDAY}</td>
							<td><input type=text name="bday" size="10" value="AAAA-MM-JJ"></td>
						</tr>
						<tr>
							<td>{SEXE}</td>
							<td>
								<label for="sexeH">Homme : </label><input type="radio" name="sexe" value="Homme"/><br />
								<label for="sexeF">Femme : </label><input type="radio" name="sexe" value="Femme"/>
							</td>
						</tr>
						<tr>
							<td>{NEW_MAIL}</td>
							<td><input type=text name="mail"></td>
						</tr>
						<tr>
							<td>{VILLE}</td>
							<td><input type=text name="ville"></td>
						</tr>
						<tr>
							<td>{NEW_PWD}</td>
							<td><input type="password" name="mdp"></td>
						</tr>
						<tr>
							<td colspan=2><input type="submit" name="Inscription" value="S'incrire"></td>
						</tr>
					</table>
				</form>
</fieldset>
